Education

Service

The Trauma/ACS services at Miami Valley Hospital are made up of the following: Two trauma/EGS teams (Team A and Team B) and one SICU team. Each team is overseen by one of the Trauma/ACS faculty surgeons who rotate on a weekly basis. The Critical Care Fellow will be responsible for running the ICU teams with graduated responsibilities and will be assigned to Team A when on their trauma/EGS rotation. Fellows take trauma/EGS call every other Friday night (6p-7a), fully participating and guiding the trauma bay resuscitations and decision making commensurate with their experience. The is always a trauma/ACS attending in-house 24/7.

Clinical Experience

Surgical Critical Care

• Accredited by Accreditation Council for Graduate Medical Education (ACGME) for 2 positions per year. ​
• The objective is to provide an environment enable the fellows to develop advanced skills in the management of all clinical aspects of surgical critical illness.​
• Critical care experience is in the Surgical Intensive Care Unit (SICU) at Miami Valley Hospital (MVH) Level 1 ACS Trauma Center with over 3500 trauma activations per year​.

Core Rotations

• Surgical Intensive Care Unit  (24-28 weeks)
• Heart and Vascular ICU/Medical ICU  (4-8 weeks)
• Neurovascular ICU (4 weeks)
• Trauma/EGS (8 weeks)
• Elective (4 weeks)

Elective options include​

• Nephrology (2 weeks)
• Pediatric ICU (2-4 weeks)
• Infectious Diseases (2–4 weeks)
• Interventional Radiology (2 weeks)
• Burn Service (2-4 weeks)
• Pre-hospital/CareFlight (2 weeks)
• Extra time in MICU or NeuroICU (4 weeks)

Curriculum

• Designed to allow fellows to qualify for the American Board of Surgery Surgical Critical Care Exam. 
• Boot camp: During the week before clinical rotations begin.
• Critical Care Ultrasound Course through the Society of Critical Care Medicine: We provide the necessary tools for the fellows to develop proficiency in critical care echocardiography both through SCCM and working side-by-side with our intensivists. The fellow will actively participate in the teaching of critical care ultrasound to the surgical residents and students.
• Weekly Surgical Critical Care Fellows’ conference: Topics align with the SCC Fellowship Curriculum developed by the SCCPDS. Lectures are delivered by the fellows, the Trauma/ACS faculty and other faculty members with varying expertise.
• Weekly trauma performance improvement (PI) conference (M&M): This is a multidisciplinary conference in which we review patient cases weekly
• Weekly general surgery M&M conference 
• Monthly Coroner’s conference
• Monthly Cadaver labs: Fellows are able to further hone their teaching skills while guiding residents and students through important technical skills from central line and chest tube placement to thoracotomies and laparotomies. We are extremely fortunate to have this opportunity in our skills lab. 
• Daily teaching rounds: The most important aspect of your education comes from on-the-job teaching rounds and microteaching sessions during bedside evaluations.

Call and Operative Experience

• Fellows in the SCC year are limited to a 12-hour night call on Fridays alternating with the second fellow (if present). Full participation in the resuscitations and operations of trauma and EGS patients is expected. The call is with the General Surgery Fourth- Year resident and a maximum of 2 call per month. Calls during the week are discouraged due to your responsibilities in the ICU.
• Other operative opportunities are afforded to fellows during their Trauma/EGS rotations.

Research

Research is encouraged and opportunities are available, supported by a fulltime Ph.D. basic science faculty and a BSN, RN; both dedicated to assist in the departmental research.

Facilities

Miami Valley Hospital is an 848-bed regional referral and specialty center, a member of the Premier Health Partners network. It is one of five major teaching hospitals in the Greater Dayton area affiliated with The Boonshoft School of Medicine of Wright State University. The facility is a 20-year ACS-verified Level I Trauma Center (with over 3,000 trauma admissions and 500 emergency surgery admissions per year) and the only Burn Center in southwest central Ohio. The MVH Shaw Trauma and Emergency Center is a 71-bed emergency department, the busiest emergency department in the state of Ohio, seeing nearly 100,000 patients annually.

There are separate Medical-Surgical, Neurocritical Care, Heart & Vascular and Burn ICU’s. A Level III Neonatal ICU with neonatal ECMO capability of up to 60 beds is housed in the hospital complex.

Specific Advanced Training

The Fellow may attain the appropriate credentials to become a course director of these educational endeavors if desired.

• Advanced Trauma Life Support (ATLS)
• Advanced Surgical Skills for Exposure in Trauma (ASSET)
• Fundamentals in Critical Care Support (FCCS)